DS-DE 9-1 YES to Preserve MBI
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ye 0 /�esPl�.(� /h/�� Qeu OFFICE USE ONLY w -Z
fame :1
Address (number and street) I X
�r4A i L?(fgch-, PL -3 7
City, State, Zip Code T;
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate (office sought):
t4lo-litical Committee . CHECK IF PC HAS DISBANDED
❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED
❑ Party Executive Committee
�,
El Electioneering Communication [; dJHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From ( / / To ?j / / Report Type J
❑ Original EfrAmendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary 0
Cash & Checks $ Expenditures $ C 3'
Loans $ Transfers to Office
Account $
Total Monetary $ Total
(7�
Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. {{�� / correct, and complete.`
(Type name) 4')ier J4 4C 1 e �/ (Type name) �Q U-el—*
F-1 Individual(only for reasurer ❑Deputy Treasurer ❑Candidate irperson(only for PC,PTY 8
electioneering commun.) )77 ring commun.organization)
Signature Signature
DS-DE 12(Rev.08/04)
TPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name I G ff� 1)1'e5Yf-G Al JA/,'i 1 Of (2) I.D. Number
(3)Cover Period / 01 through / 3 / 3 / (4) Page )—of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(8) (Last,Suffix,First, Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
/h/4 rA Fz'
"3 -713
13 Glad
ho n e es A0 t-) lu0 r D).
2 4 l� 1 9
DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES